Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Chapter 1 The three basic principles that guided the efforts of the panel in the development of this TIP manual were: A. Adult offenders should receive effective and appropriate care, adult offenders have a right to privacy and confidentiality, and cultural, ethnic and gender concerns must be considered in the screening and assessment process. B. Adult offenders should receive effective and appropriate care, adult offenders have a right to family involvement in the treatment process, and cultural, ethnic and gender concerns must be considered in the screening and assessement process. C. Adult offenders should receive professional and sensitive assessment and screening, adult offenders have a right to privacy and confidentiality, and cultural, ethnic and gender concerns must be considered in the screening and assessment process. D. None of the above. ____ 2. Chapter 2 The term ‘classification’ is used in the criminal justice system to refer to: A. The process by which the criminal justice system assesses both the security risk represented by the individual and the individual’s need for social services B. The process in which the educational, vocational, treatment and custodial needs of the offender are determined C. A system by which a correctional agency reckons differential handling and care, fitting rehabilitation and security programs to the individual D. All of the above ____ 3. The primary purpose of the clinical assessment is to confront the client with the consequences of his/her substance abuse. A. True B. False ____ 4. The recommendations of the assessment are later reviewed with the criminal justice system who will decide whether or not the client needs treatment. A. True B. False ____ 5. The elements of a clinical assessment are grouped under 3 broad domains which are: A. Cultural, ethnic, and gender B. Social-behavioral, psychological and physical C. Socio-behavioral, gender and physical D. Cultural, psychological and physical ____ 6. There is evidence that spirituality plays a positive role in an individual’s recovery from alcohol and other drug abuse. A. True B. False ____ 7. Which one of the following client needs should be addressed first in order to enable the client to benefit fully from treatment? A. Physical health needs B. Spiritual needs C. Social support needs D. Primary emotional disorder ____ 8. Standard assessments, by themselves, are an effective tool for determining a clients needs. A. True B. False ____ 9. Criminal justice personnel must be included in the individual case management team at each stage of the treatment process. A. True B. False ____ 10. One of the goals of an appropriate assessment is to understand the client’s world from what perspective? A. A clinical perspective C. A cultural perspective B. A judicial perspective D. None of the above ____ 11. Due to preconceptions, physicians or psychologists may misread symptoms of alcoholism in women as symptoms of depression. A. True B. False ____ 12. HIV testing should be a mandatory part of the medical assessment. A. True B. False ____ 13. Chapter 3 These three elements represent the beginning of the treatment process: A. Screening, assessment and treatment B. Assessment, planning and systems coordination C. Screening, assessment and a client’s readiness D. None of the above ____ 14. The screening process for those in the criminal justice system can begin as early as when a police officer responds to a complaint or makes an arrest. A. True B. False ____ 15. Arrests are often an excellent stage for screening due to the arrestee being in what type of crisis? A. Economic crisis C. Psychological crisis B. Physical deterioration D. All of the above ____ 16. How many questions does the CAGE screening tool possess to look for potential alcohol involvement? A. 3 C. 5 B. 4 D. 6 ____ 17. The Michigan Alcohol Screening Test is a less detailed tool than the CAGE questionnaire. A. True B. False ____ 18. The assessment identifies the client’s: A. Severity of AOD abuse C. Available support system B. Readiness for treatment D. All of the above ____ 19. The Addiction Severity Index is probably the most widely used assessment instrument. A. True B. False ____ 20. The ASI can be administered by an experienced clinician in approximately: A. 30 minutes C. 90 minutes B. 60 minutes D. 120 minutes ____ 21. These are two weaknesses of the Minnesota Multiphasic Personality Inventory as an assessment tool: A. Time consuming and expensive C. Expensive and copyrighted B. High level of difficulty and copyrighted D. None of the above ____ 22. Without the signed consent of the client and in accordance with confidentiality regulations, the results of the assessment cannot be shared with anyone. A. True B. False ____ 23. A client’s readiness for treatment consists of which of the following factors? A. Insight into his/her condition C. An appreciation that prior attempts to change did not yield desirable results B. A willingness to effect change D. All of the above ____ 24. Research has demonstrated that coerced treatment via a court order is not as effective as voluntary treatment. A. True B. False ____ 25. Most recipients of AOD treatment are voluntary participants. A. True B. False ____ 26. Chapter 4 Two key concepts that guide the development of every treatment plan for every client are: A. Readiness and family support C. Individualized and participatory B. Mental and physical health D. None of the above ____ 27. A progress assessment tool is a management tool focusing on a client already in treatment. A. True B. False ____ 28. Addressing the client’s basic needs prior to treatment will help to ensure cooperation from the client during assessment. A. True B. False ____ 29. The potential for relapse among AOD users is largely dependent upon what 3 key factors? A. Availability of drugs, money and association with drug-using friends B. Duration of treatment, duration of time before the relapse occured and the duration of AOD use following relapse C. Fears of failure, an AOD using partner and anger or other emotional issues D. Counselor availability, criminal justice involvement in the recovery process and realistic expectations ____ 30. Which of the following are considered likely factors as triggers for relapse? A. Any situation that repeats past traumas C. Reactions to anniversaries or holidays B. Newfound freedom to have choices D. All of the above ____ 31. The purpose of linking systems, such as the criminal justice and treatment programs, in the AOD treatment of criminal offenders is to change law enforcement practices and to offer treatment services to those identified and processed under current applications of the law. A. True B. False ____ 32. Chapter 6 Confidentiality involving clients in AOD treatment programs must comply with regulations set forth by: A. State government C. Federal government B. The treatment program D. The criminal justice system ____ 33. A ‘criminal justice consent’ may be revoked before its expiration event or date. A. True B. False ____ 34. In the case Tarasoff v. Regents of the University of California, the California Supreme Court held a psychologist liable for damages because he failed to warn a potential victim his patient threatened to kill, and then did so. A. True B. False